Individual provider Active NPI

Jessie M Whiteman, FNP-C

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1073090130
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008138A Issued in IN
Practice address
11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone
(260) 494-3484
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008138A IN Primary

Addresses

Primary practice location

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672

Mailing address

120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000

Other practice location 1

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7493

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001042 IN Practitioner - Nurse Practitioner 3779831946 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Indiana PCGroup PAC ID 8921033440, 64 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

11104 Parkview Circle Dr
Suite 330
Fort Wayne, IN 46845-1674
Phone (260) 494-3484

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310

Merit-based Incentive Payment System (MIPS)

Final score
18.43 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
61.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Specialists, Inc Family CurrentSince Feb 1, 2025 Accepting new patients
RP Care LLC Family CurrentSince Jul 15, 2018 Accepting new patients
Nephrology Associates of Northern Indiana, Inc CurrentSince Aug 1, 2025 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Eventus Ecs, Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

120 W 22nd St
Oak Brook, IL 60523

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

3512 Stellhorn Rd
Fort Wayne, IN 46815

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

11104 Parkview Circle Dr
Ste 330
Fort Wayne, IN 46845

569 Tyler St
Gary, IN 46402
Phone (260) 885-3300

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

150 W Market St
Ste 400
Indianapolis, IN 46204

90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555

8398 Mississippi St
Fl 2
Merrillville, IN 46410

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jwhiteman83479@direct.acumenmd.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073090130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451672",
            "telephone_number": "260-494-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7493",
            "fax_number": "260-969-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "JESSIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008138A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.